NPI 1083963573

Providence Health & Services - Oregon

Organisation Otolaryngology Physician The Dalles, OR

Practice location

Address: 1815 E 19th St Suite 1, The Dalles, OR 97058-3385
Phone: (541) 298-5563
Mailing address: PO Box 31001-4180, Pasadena, CA 91110-4118

Authorised official

Name: Donald W Anderson
Title: Assistant Secretary of Enrollments
Phone: (425) 358-9786

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Oregon →

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Oregon →

Registry record

NPI: 1083963573
Entity type: Organization
NPI issued: 30 Aug 2012
Record last updated: 20 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.